Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC CT PELVIS, W
Philadelphia, PA
See all hospitals reporting CPT 72193 →Price type
Temple University Hospital - Fox Chase Campus’s median price of $299 is 36% below the median hospital's median price ($469), higher than 32% of the 2,597 hospitals reporting CPT 72193. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 25 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Bcbs Nj medicare advantage facility · fee schedule · outpatient | $184.36 | $184.36 | $184.36 – $184.36 |
| 2 | Humana medicare advantage facility · fee schedule · outpatient | $184.36 | $184.36 | $184.36 – $184.36 |
| 3 | UnitedHealthcare vaccn facility · fee schedule · outpatient | $184.36 | $184.36 | $184.36 – $184.36 |
| 4 | Highmark medicare advantage facility · fee schedule · outpatient | $188.05 | $188.05 | $188.05 – $188.05 |
| 5 | Aetna coventry facility · fee schedule · outpatient | $189.89 | $189.89 | $189.89 – $189.89 |
| 6 | Cigna medicare dsnp/medicare hmo/medicare ppo facility · fee schedule · outpatient | $193.58 | $193.58 | $193.58 – $193.58 |
| 7 | Clover medicare advantage facility · fee schedule · outpatient | $195.42 | $195.42 | $195.42 – $195.42 |
| 8 | Aetna medicare advantage facility · fee schedule · outpatient | $199.11 | $199.11 | $199.11 – $199.11 |
| 9 | Cigna commercial facility · fee schedule · outpatient | $243.19 | $243.19 | $243.19 – $243.19 |
| 10 | Oscar pennsylvania health plan facility · fee schedule · outpatient | $276.54 | $276.54 | $276.54 – $276.54 |
| 11 | Bcbs Pa medicare advantage hmo/medicare advantage ppo facility · fee schedule · outpatient | $564.90 | $564.90 | $564.90 – $564.90 |
| 12 | Bcbs Pa medicare advantage select 65 facility · fee schedule · outpatient | $564.90 | $564.90 | $564.90 – $564.90 |
| 13 | Highmark commercial facility · fee schedule · outpatient | $587.41 | $587.41 | $587.41 – $587.41 |
| 14 | Bcbs Pa hmo facility · fee schedule · outpatient | $820.04 | $820.04 | $820.04 – $820.04 |
| 15 | Bcbs Pa ppo facility · fee schedule · outpatient | $909.77 | $909.77 | $909.77 – $909.77 |
| 16 | Bcbs Pa temple member facility · fee schedule · outpatient | $909.77 | $909.77 | $909.77 – $909.77 |
| 17 | Bcbs Nj indemnity facility · percent of total billed charges · outpatientfrom % of charges | $1,021 | $1,021 | $1,021 – $1,021 |
| 18 | Bcbs Nj managed care facility · percent of total billed charges · outpatientfrom % of charges | $1,021 | $1,021 | $1,021 – $1,021 |
| 19 | Bcbs Nj ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,021 | $1,021 | $1,021 – $1,021 |
| 20 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,831 | $1,831 | $1,831 – $1,831 |
| 21 | Aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $1,831 | $1,831 | $1,831 – $1,831 |
| 22 | Aetna workers' comp facility · percent of total billed charges · outpatientfrom % of charges | $1,831 | $1,831 | $1,831 – $1,831 |
| 23 | UnitedHealthcare options ppo facility · percent of total billed charges · inpatientfrom % of charges | $2,314 | $2,314 | $2,314 – $2,314 |
| 24 | UnitedHealthcare options ppo facility · percent of total billed charges · outpatientfrom % of charges | $2,314 | $2,314 | $2,314 – $2,314 |
| 25 | Bcbs Pa indemnity facility · percent of total billed charges · outpatientfrom % of charges | $2,419 | $2,419 | $2,419 – $2,419 |
Last updated: Apr 13, 2026
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